XXB-28409-75554

3 vaccinations 10 coded responses 28 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 934 / CA
Registered: 2021-03-01

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-23
Dose 1 — Pfizer-BioNTech
2021-03-01
Registered in v-safe
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Fatigue, Headache, Injection site pain, Nausea, Pain — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-02
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-03-15
Dose 2 — Pfizer-BioNTech
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Emergency care, Fibrin D dimer increased, Limb discomfort — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-18
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

no matching call case
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-25
Survey response — 7 day, dose 2
MedDRA: Chest discomfort, Dyspepsia, Emergency care — Feeling: Fair · Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-29
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — 35 day, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Janssen/Johnson & Johnson
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-10-31
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Heart rate irregular, Self-medication — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

MedDRA releases: 2024-11 · check-in answers available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Formication — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-02
Call successful
Does not wish to fill out VAERS report
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Pain — Feeling: Good · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-11-06
Survey response — 7 day, dose 3
MedDRA: Gastrooesophageal reflux disease, Pre-existing disease — Feeling: Fair · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-11-13
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-04-30
Health check-in — 6 month, dose 3
Feeling: Good

Adult check-in
2022-11-01
Health check-in — 12 month, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Pfizer-BioNTech
2	2021-03-15	Pfizer-BioNTech
3	2021-10-30	Janssen/Johnson & Johnson	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-31	Successful 2021-11-02	Does not wish to fill out VAERS report

1 report(s) with no call case — see the timeline.

Free text

Release 4

Systemic reaction (other): I had symptoms day after vaccine but all manageable without pain relievers. Nausea, pain at injection site, chills, fatigue, head and body aches.

Release 5

Systemic reaction (other): Had tightness and pressure in chest and and shoulders. Went to ER. Checked for pulmonary embellolism.

Healthcare visit (other): Had high D-DIMER blood test result of 1.2

Systemic reaction (other): Woke up again with chest tightness. Dissipated by afternoon.

Release 6

Systemic reaction (other): No chest pressure when I rose this morning.

Systemic reaction (other): Minor chest pressure which I determined was part of side effects I experienced with vaccine.

Systemic reaction (other): Some heart burn like I had on 3-18 when I went to ER. Made connection chest pressure was one of last side effects to vaccine. Appears to be unusual side effects but has to be as I have not dealt with acid reflux in over 10 years.

Release 10

Systemic reaction (other): Heart beats felt off this morning and tightness with breathing until I took Tylenol. All symptoms were better after taking Tylenol.

Systemic reaction (other): Crawling feeling of skin which I had first day as first side effect.

Systemic reaction (other): Yesterday's side effects I did not report. Would like to here. Very fatigued, aches and moving pain on right side.

Systemic reaction (other): Some acid reflux which was symptom I had with Pfizer vaccine. Haven't dealt with acid reflux in 15 years.

Free-text releases are not linked to a specific survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Fibrin D dimer increased	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Formication	·	·	✓
SRO	Gastrooesophageal reflux disease	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate irregular	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Unevaluable event	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release